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cardiology > Angina Pectoris Dr. D'Amico Cardioloy > Flashcards

Angina Pectoris Dr. D'Amico Cardioloy Flashcards

1
Q

temporary ST depression

A

stabile angina

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2
Q

has a high frequency for progression to MI if NOT treated

A

unstable angina

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3
Q

pattern of increased frequency and duration of angina episodes produced by less exertion or at rest

A

unstable angina

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4
Q

chronic pattern of transient angina pectoris precipitated by physical activity or emotional stress

A

stable angina

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5
Q

silent ischemia

A

asymptomatic episodes of myocardial ischemia detected by EKG or labs

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6
Q

ST elevation

A

Variant angina

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7
Q

what patients are at risk for silent ischemia

A

diabetic patients, elderly women

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8
Q

angina typically lass about

A

2-10 minutes

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9
Q

quality for angina

A

pressure, tightness, squeezing, heaviness burning

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10
Q

location for angina

A

diffuse

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11
Q

what are precipitating factors for angina

A

exertion, cold and stress

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12
Q

what are the accompanying symptoms for angina pectoris

A

S4 gallop, mitral regurgitation mumur during pain

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13
Q

levine sign

A

angina

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14
Q

unstable angina duration

A

10-20 minutes

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15
Q

what is the duration for acute MI

A

greater tahn 30 minutes

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16
Q

what are accompany symptoms of MI

A

unrelieved by nitorglycerin

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17
Q

what are associated features of aortic stenosis

A

late peaking systolic murmur radiating to the carotid arteries

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18
Q

qualtiy for pericarditis

A

sharp pain

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19
Q

duration of paricarditis symptoms

A

hours to days

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20
Q

location of “pain” for pericarditis

A

retrosternal, cardiac apex, may radiate to left shoulder

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21
Q

relieved by sitting up and leaning forward and is WORSE when lying down/back

A

pericarditis

22
Q

tearing, ripping

A

aortic dissection

23
Q

what is the duration of aortic dissection

A

abrubt onset, unrelenting

24
Q

what are associated features of aortic dissection

A

assoc with hypertension
underlying CT tissue disorder
mumur of aortic insufficiency, pericardial rub, pericardial tamponade; loss of peripheral pulses

25
Q

sharp pain with deep breath

A

pulmonary embolism, pulmonary HTN, pneumonia, or pleuritis, spontaneous pneumothorax

26
Q

duration of pulmonary embolism

A

abrubt onset, minutes to few hours

27
Q

location of pulmonay embolism

A

lateral side

28
Q

associated features of a PE

A

dyspnea, tachpnea, and tachycardia, hypotension

29
Q

location of pain for pulmonary HTN

A

substernal

30
Q

dyspnea, signs of increased venous pressure, edema, HVD

A

pulmonary HTN

31
Q

duration for spontaneous pneumothorax

A

sudden onset, several hours

32
Q

decreased breath sounds

A

spontaneous pneumothorax

33
Q

worsened by post prandial recumbency; relieved by antacids

A

esophageal reflux

34
Q

location of pain for reflux

A

substernal and epigastric

35
Q

duration of pain for reflux

A

10-60 minutes

36
Q

pressure, tighness, burning

A

esophageal spasm

37
Q

________can closely mimic angina

A

esophageal spasm

38
Q

prolonged burning

A

peptic ulcer

39
Q

relived with FOOd

A

peptic ulcer

40
Q

prolonged burning and pressure

A

gallbladder disease

41
Q

reproducible by localized pressure

A

MSK

42
Q

burning sharp pain with dermatomal location

A

herpes zoster

43
Q

what are some factors that do NOT favor cardiac causes

A

sharp, pinching, stabbing or jabbing
can be localized using 1 finger
less than 15 seconds, more than days (continuously)

44
Q

factors that favor myocardial ischemia/infarction

A

dull, heavy, full type pressure squeezing, not localized by 1 finger and NOT reproducible by pushing on the chest

45
Q

dull heavy pain that lasts 2-10 minutes

A

typical angina

46
Q

dull heavy pain that lasts 30 minutes to ours

A

acute MI

47
Q

unrelieable with nitroglycerin

A

acute MI

48
Q

MOA of beta blockers

A

decrease myocardial oxygen demand, decrease contractility and decrease heart rate

49
Q

MOA of orgnanic nitrates

A

decrease myocardial oxygen demand, and preloab

increase oxygen supply

50
Q

what are the two drug classes that can alter heart rate

A

beta blockers and calcium channel blockers

51
Q

MOA of ranolazine

A

decreased late phase inward sodium current

cardiology (11 decks)

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